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Print ISSN: 1792-1074 Online ISSN: 1792-1082
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August 2013 Volume 6 Issue 2

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Case Report

Sudden visual loss in the untreated eye of a patient with neovascular glaucoma following an intravitreal bevacizumab injection: A case report

  • Authors:
    • Ding Xu
    • Liumei Hu
    • Bing Wang
    • Fang Wang
  • View Affiliations / Copyright

    Affiliations: Department of Ophthalmology, Shanghai 10th People's Hospital, Tongji University School of Medicine, Shanghai 200072, P.R. China
  • Pages: 445-447
    |
    Published online on: June 7, 2013
       https://doi.org/10.3892/ol.2013.1382
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Abstract

The current study presents the case of a patient with a rare adverse event characterized by sudden vision loss in the untreated eye following an intravitreal injection of bevacizumab for neovascular glaucoma (NVG). The patient was diagnosed with NVG refractory to Ahmed glaucoma valve implantation and a vitreous hemorrhage in the right eye, which was treated with 1.25 mg intravitreal bevacizumab. Ten days after the bevacizumab injection, the left eye exhibited sudden visual loss. The patient's best‑corrected visual acuity (BCVA) decreased from 80 to 25 letters [Early Treatment Diabetic Retinopathy Study (ETDRS) chart]. A fundus examination revealed a swollen optic disk with unclear boundaries, retinal hemorrhages and thinning retinal vessels. Fundus fluorescein angiography (FA) identified hyperfluorescence in the optic disk and an enlarged foveal avascular zone. The visual field revealed quadrantal defects that confirmed the diagnosis of anterior ischemic optic neuropathy associated with ischemic maculopathy. Six months later, following medical treatment, the patient's BCVA was increased to 44 letters. However, a clinical examination found neovessels with one papilla disk (PD) above the disk. Laser photocoagulation treatment was administered immediately. The area of neovessels above the disk was reduced to 1/4 PD at the last follow-up. In conclusion, although intravitreal anti‑vascular endothelial growth factor (Bevacizumab) is an effective treatment for neovascular ocular diseases, its adverse effects must be taken into consideration for the treatment of NVG. Photocoagulation remains an effective treatment for proliferative diabetic retinopathy.
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Copy and paste a formatted citation
Spandidos Publications style
Xu D, Hu L, Wang B and Wang F: Sudden visual loss in the untreated eye of a patient with neovascular glaucoma following an intravitreal bevacizumab injection: A case report. Oncol Lett 6: 445-447, 2013.
APA
Xu, D., Hu, L., Wang, B., & Wang, F. (2013). Sudden visual loss in the untreated eye of a patient with neovascular glaucoma following an intravitreal bevacizumab injection: A case report. Oncology Letters, 6, 445-447. https://doi.org/10.3892/ol.2013.1382
MLA
Xu, D., Hu, L., Wang, B., Wang, F."Sudden visual loss in the untreated eye of a patient with neovascular glaucoma following an intravitreal bevacizumab injection: A case report". Oncology Letters 6.2 (2013): 445-447.
Chicago
Xu, D., Hu, L., Wang, B., Wang, F."Sudden visual loss in the untreated eye of a patient with neovascular glaucoma following an intravitreal bevacizumab injection: A case report". Oncology Letters 6, no. 2 (2013): 445-447. https://doi.org/10.3892/ol.2013.1382
Copy and paste a formatted citation
x
Spandidos Publications style
Xu D, Hu L, Wang B and Wang F: Sudden visual loss in the untreated eye of a patient with neovascular glaucoma following an intravitreal bevacizumab injection: A case report. Oncol Lett 6: 445-447, 2013.
APA
Xu, D., Hu, L., Wang, B., & Wang, F. (2013). Sudden visual loss in the untreated eye of a patient with neovascular glaucoma following an intravitreal bevacizumab injection: A case report. Oncology Letters, 6, 445-447. https://doi.org/10.3892/ol.2013.1382
MLA
Xu, D., Hu, L., Wang, B., Wang, F."Sudden visual loss in the untreated eye of a patient with neovascular glaucoma following an intravitreal bevacizumab injection: A case report". Oncology Letters 6.2 (2013): 445-447.
Chicago
Xu, D., Hu, L., Wang, B., Wang, F."Sudden visual loss in the untreated eye of a patient with neovascular glaucoma following an intravitreal bevacizumab injection: A case report". Oncology Letters 6, no. 2 (2013): 445-447. https://doi.org/10.3892/ol.2013.1382
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